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Oklahoma rates for HCPCS A9547

Indium In-111 Oxyquinoline Diagnostic Per 0.5 Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,046.04 / $2,046.04 / $3,478.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,020.78 / $2,046.04 / $2,096.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,147.08 / $2,147.08 / $2,147.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,147.08 / $2,147.08 / $2,147.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$772.64 / $2,145.75 / $3,479.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,104.98 / $2,104.98 / $2,580.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,104.98 / $2,104.98 / $2,231.28